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SUSAN SHEPPARD
NPI 1598857278
Family Medicine in Normal, IL

Active since September 29, 2006
2200 FORT JESSE RD, SUITE 110, NORMAL, IL 61761(309) 661-6290(309) 451-1354 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Sheppard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN SHEPPARD (NPI 1598857278) is an individual family medicine provider in Normal, Illinois, licensed in Illinois (036101712) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1598857278
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN SHEPPARD
Location Address2200 FORT JESSE RD, SUITE 110Normal, IL 61761-6286
Mailing Address2200 Fort Jesse Rd, Suite 110Normal, IL 61761-6286 · (309) 661-6290 · Fax (309) 451-1354
Phone(309) 661-6290
Fax(309) 451-1354
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJune 10, 2008
✔ NPI 1598857278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036101712
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2200 FORT JESSE RD, Normal, IL 61761
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Other Identifiers 6

Medicare UPING62950
Medicare ID-Type UnspecifiedCA2264IL · Rr Group #
Other833130IL · Medicare Group #
Medicare ID-Type Unspecified080150256IL · Rr Individual #
Medicare ID-Type UnspecifiedL89068IL · Individual #
Medicaid036101712IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBIN POSTON OT
Occupational Therapist
2200 FORT JESSE RD, SUITE 250
NORMAL, IL 61761
McLean County (309) 454-1616
MR. JASON N RICHARDS OT
Occupational Therapist
2200 FORT JESSE RD
NORMAL, IL 61761
McLean County (309) 888-9800
DR. DANIEL L HA M.D.
Radiology (Body Imaging)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
DR. AJAY R MALPANI M.D.
Radiology (Nuclear Radiology)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
DR. CARLOS P CAPATI M.D.
Radiology (Diagnostic Radiology)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
DR. DAVID KOCH M.D.
Radiology (Body Imaging)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
MS. MALLORY R HIPPLER COUNSELOR
Counselor (Professional)
2200 FORT JESSE RD
NORMAL, IL 61761
McLean County (309) 661-6290
JESSICA JOHANN
Nurse Practitioner
2200 FORT JESSE RD, 110
NORMAL, IL 61761
McLean County (309) 661-6290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Sheppard's NPI number?

The NPI number for Susan Sheppard is 1598857278. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Susan Sheppard located?

Susan Sheppard practices at 2200 Fort Jesse Rd Suite 110, Normal, IL 61761. The listed phone number is (309) 661-6290.

What is Susan Sheppard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Susan Sheppard was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.